16 一位年輕男性在頭部外傷一星期後,出現左眼凸出及視力模糊的狀況,結膜有血管怒張表現,病人自覺腦中會聽見咻咻聲(whooshing noise),下列敘述何者正確?
(A)此表現乃因外頸動脈直接和海綿竇之間形成不正常的瘻管(fistula)
(B)可能會伴隨眼肌麻痺(ophthalmoplegia),最常見為第三對腦神經被影響
(C)電腦斷層檢查常呈現上眼靜脈擴張(dilation of superior ophthalmic vein)
(D)常伴隨玻璃體出血及視網膜剝離

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統計: A(22), B(10), C(25), D(1), E(0) #1067954

詳解 (共 1 筆)

#3957143
●Subjective bruit (80 percent), bruits may also be auscultated over the globe
●Blurred vision (25 to 59 percent)
●Headache (53 to 75 percent)
●Diplopia (50 to 85 percent)
●Ocular and/or orbital pain (35 percent)
●Proptosis (72 to 87 percent)
●Chemosis and conjunctival injection (55 to 89 percent)
With respect to ophthalmoplegia, cranial nerve VI is involved in 50 to 85 percent of cases, cranial nerve III is involved in 67 percent of cases, and cranial nerve IV is involved in 49 percent of cases [5,16]. Facial sensory loss may also result from involvement of cranial nerve V. Cranial neuropathies can



 
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